I-Tendinosis ibangela ukulimala okungapheliyo kwe-Tendon, hhayi ukuvuvukala okungazelelwe
I-Achilles tendinosis iyinkinga evamile yethononi yama-Achille. Ngeshwa, iziguli eziningi nodokotela abaningi badibanisa igama elithi tendllesitis lama- Achilles nge-Achilles tendinosis. I-Achilles tendinosis iyinkinga engapheli ekhonjiswe izinyembezi ezincane ze- tendon Achille . Ngakolunye uhlangothi, i-Achilles tendonitis ivela lapho kunzima (ukuzumayo ngokuzumayo) ukuvuvukala kwethenda.
Ukuhlukanisa lezi zimiso kubalulekile ukuqinisekisa ukwelashwa okufanele.
Ukuvuvukala vs. Ukuguqulwa
Igama elithi tendonitis lama-Achilles kufanele lisetshenziswe ekubhekeleni ukuvuvukala kwethenda ye-Achilles. Ukuvuvukala kuvamise ukushintsha okukhulu (umphumela wokulimala okungazelelwe). Le nkinga ibonakala ngokuvuvukala, ubomvu, imfudumalo, nobuhlungu. Esinye isifo esivamile se-Achilles tendonitis ibizwa ngokuthi i-crepitus. I-Crepitus iyisisindo sokugaya esingazizwa ngokubeka isandla sakho phezu kwethenda elihambayo. Ukuvuvukala nokuvuvukala kwethethoni kubangela ukuzwa okugaya okungase kuzwakale ngesandla sakho. Uma ibonakala ngaphansi kwe-microscope, izimo zokuvuvukala zinamaseli athile umzimba oletha kulowo mzimba womzimba ukusiza ukulawula ukuvuvukala nokuphulukisa isithoni esilimele.
I-Achilles tendinosis iyinkinga ehlukile engabonakali ukuvuvukala. Kunalokho, lezi ziguli zinezintuthwane.
Ngokuvamile akukho ubomvu noma imfudumalo yezicubu ezithambile ezizungezile, nakuba indawo ingaba buhlungu ukuthinta. I-Achilles tendinosis iyinkinga engapheli, okusho ukuthi ikhula kancane kancane futhi ihlala isikhathi eside. Uma ibonakala ngaphansi kwe-microscope, amangqamuzana okuvutha akatholakali, nakuba umonakalo ongapheli kanye nezinyembezi ezincane ze-tendon kungabonakala.
Izimpawu ze-Achilles tendinosis yiyona ndlela engcono kakhulu yokwenza ukuxilongwa kwalesi simo. Ngokuvamile i-x-ray yehlanganiso ye-ankle iyoba yinto evamile, nakuba kungenzeka ukubona i-calcific encane noma i-bone spurs ezungeze ithethoni, lezi zibonakaliso zokuvuvukala okungapheli. Ukuhlolwa kwe-MRI kungenziwa futhi okungahle kuboniswe ukuklebhula noma ukuwohloka kwamathambo we-tendon, kanye nokuqina kwesabelo esonakele se-tendon.
Kubalulekile ukuhlukanisa phakathi kwe-tendonitis ne-tendinosis, njengoba ukwelashwa kwalesi simo kuzohluka. Isibonelo, ukwelapha i-Achilles tendinosis ngemigomo ehlose ukunciphisa ukuvuvukala (i-ice, imithi elwa nokuvuvukala) cishe kuyokwenza kancane kakhulu ukukusiza ukuxazulula izimpawu zalesi simo. Ngendlela efanayo, ukwelashwa kwe-tendinosis uma inkinga isimo sokuvuvukala cishe ngeke siphumelele ngendlela efanayo.
Ukwelashwa kwe-Achilles Tendinosis
Nakuba ukwelashwa kwe-Achilles tendonitis ne-Achilles tendinosis kufana, akufani. Kubalulekile ukuphawula ukuthi ngenxa yokuthi i-Achilles tendinosis ayitholi ukuvuvukala, ukwelashwa okuhlose ukulawula ukuvuvukala akunakwenzeka kube usizo. Ngakho-ke, ngenkathi imithi yokulwa nokuvuvukala ne-ice ingasetshenziswa ukuphatha izimpawu zokungahambi kahle ezihlobene ne-Achilles tendinosis, azilwi ukuvuvukala kule simo.
Ukwelashwa okuphumelelayo kakhulu kwe-Achilles tendinosis kuvame ukufaka izicathulo, izivivinyo zokwelapha nokuthulula.
Ngokuqondile, ukuvivinya umzimba okugxila ekugqaseni kwe-eccentric ye-tendon ye-Achilles kuye kwaboniswa ukuthi kuyindlela ephumelela kakhulu yokugqugquzela ukuphulukiswa kwesabelo esonakele sethenda. Imivimbo ye-Eccentric eyenziwa ngokuthola isivumelwano se-tendon tisson unit, ngenkathi ihlinzeka amandla amakhulu. Isibonelo, ukwenza izinyosi zezinyosi , futhi ukuhamba kancane kancane kuyindlela ephumelelayo yokusebenza kwethenda ye-Achilles.
Kwezinye izimo ezingavamile, udokotela wakho odokotela angase ancoma ukwelashwa okuhlinzekwa ngethononi ewonakele.
Kulezi zimo, ngokuvamile inxenye ewonakele ye-tendon isuswa ngokuhlinzwa. Uma ithethoni engavamile isusiwe, i-tendon ezungezile ingalungiswa nxazonke. Kukhona ukungqubuzana ngokuthi ukusebenza kahle kanjani lelashwa kuphulukisa i-Achilles tendinosis. Abanye odokotela abahlinzayo bakholelwa ukuthi ukuphumelela kwalokhu ukwelashwa kuyimbangela ye-rehab eyenziwa uma sekuhlinzwa.
Imithombo:
I-Saltzman CL, i-Tearse DS. "Ukulimala kwamathononi ama-Achilles" J. Am. I-Acad. I-Ortho. Ukuhlinzwa, Septhemba 1998; 6: 316 - 325.